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Permit No. 11795 APPLICATION FOR BUILDING PERMIT BUILDING INFORMATION _ Address: 14343 JASMINE HILL COURT Permit Number: 111795 ' Community 72:41;-.1,,,t, 2001 Grand Avenue APN: 1017-642-44 Chino Hills, CA 91709 Lot: 1254 4."''°k, PERMIT FEES �.•.° X/ST: (PHASE 9 Electrical: $236.28 _ aTrorcxmoxaisi Geo Review: $0.00 LICENSED CONTRACTOR'S DECLARATION Tract: 13601 I hereby affirm that I am licensed under the provisions of Chapter 9(commencing with Valuation: !$141,000.00 Grading: $75.00 Section 7000 of Division 3 of the Business and Professions Code)and my license is in Issuance: $29.00 full force and effect. APPLICANT INFORMATION Mechanical: $88.80 Name: West Venture Homes Plan Check: $103.36 Contractor: West Venture Homes Address: 300 E.Magnolia Blvd.Ste.400 Address: 300 E.Magnolia Blvd.Ste.400 Plumbing: $235.50 City,State Zip: Burbank,Ca.91502 City,State Zip: Burbank,Ca.91502 Structural: $1,033.56 Phone: (818)567-3100 Total Permit Fee: $1,801.50 Phone: (818)567-3100 License Class: B City Bus Lic#: 98-02314 License#: 443069 City Bus Exp: 04/30/98 D. 08/07/97 OWNER INFORMATION SMIP: $14.10 OWNER BUILDER DECLARATION Name: Total with SMIP: $1,815.60 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Address: 300 E.Magnolia Blvd.Ste.400 City,State Zip: Burbank,Ca.91502 I,as the owner of the property,or my employees with wages as their whole Phone: (818)567-3100 compensation,will do the work,and the structure is not intended or offered for sale. APPROVAL INFORMATION ❑ City Bus Lic#: 98-02314 I,as owner of the property,am exclusively contracting with licensed contractors to Approved by: DEBY CONRAD construct the project. City Bus Exp: 04/30/98 Date Issued: 3/27/98 D I am exempt under Section 1 1 BPC for this reason I I ENGINEER/ARCHITECT INFORMATION Finance Code: C4 / SM WORKERS'COMPENSATION DECLARATION Name: Van Wechel,Erick W. Census Code: 101 Address: 6579 lssac Street Final Date: I hereby affirm under penalty of perjury one of the following declarations: City,State Zip: Chino,Ca.91710 Inspector: ❑ I have and will maintain a certificate of consent to self-insure for workers' Phone: (909)628-0473 Extension: compensation as provided by Section 3700 of the Labor Code,for the performance City Bus Lic#: n/a Reviewed by: of the work for which this permit is issued. City Bus Exp: 1 I have and will maintain workers'compensation,as required by Section 3700 of the 'Eng/Arc Lic#: 20666 Labor Code,for the performance of the work for which this permit is issued. My .workers'compensation insurance carrier and policy number are: Proposed Use: • Insurance Company: Acord SINGLE FAMILY RESIDENCE Policy Number: DWC80745321 Expiration Date: 7/1/98 El Section need not be completed if the permit is for one hundred dollars($100)or less. Project Description: Location on Prop: Square Feet: Setbacks: Livable: SFR 2148 I FY I certify that in the performance of the work for which this permit is issued. I shall not employ Garage: Garage 430 SY: any person in any manner so as to become subject to the Workers'Compensation Laws of Patio Patio 67 RY California and agree that if I should become subject to the workers'compensation provisions I of Section 3700 of the Labor Code. I shall comply with those provisions. Porch: Other: 1 Date: I I Signature: I I Zoning: PD Grading: Comments: ELEVATION C I certify I have read this application and state that the above information is correct. I agree to Land Use: FR1 comply with all City Ordinances and state laws and hereby authorize representatives of this Plan: PLAN 1 Cut: 1. City to enter upon the above mentioned property for inspection purposes. Occ: R3 Fill: I � Date: 13/21/q I Signature: I Type: VN Total: • 0 INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregrade Meeting Footing,ReBar Rough Grade 1st Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain/Seal Soils Certification ReRoof: Grading Certification Tear-off,Existing Conditions Rough Sheath Nailing As Built Approved Roof Final Underground Site Inspections: tWSwimming Pools: 't Building Sewer Line oK -o EoC . \I r PAW oom+ ` 5 Ol>3 Location/Rebar/Bonding/Light Supply Water Line Gas Test/Gr Conduit/Ro Elect Storm Drain/Catch Basins Pre-Deck U/G Conduit/Electrical POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE DO NOT BACKFILL UNTIL ABOVE IS APPROVED Fence,Gate&Alarm Verify Soils Engineering: Final Pool Compaction,moisture,conditioning,etc. Fire Protection Equipment: Underfloor/Underslab Inspection: UG Pipe U/F Waste Plumbing yah-ltin 41/V Thrust Blocks U/F Water Hydro U/F Mechanical Flush U/F Electrical Weld Outlet Insp. U/F Framing Overhead Hydro Insulation Subfloor Temp Power Pole ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Electric Release 4-1 c.--f-41' 114..E Foundation Inspection: _/ / Gas Test -- `7(2.-11113 l� Setback/Footing r UFER Ground(Rebar/Copper) iW 41j( FINAL INSPECTIONS Hardware/Hold-Downs , NO OCCUPANCY PERMITTED WITHOUT FINAL! Piers/Caissons/Tendons 13(,2 County Environmental DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Health Dept (391-7570) Shear Inspection(Wood): Planning Dept (364-2790) Roof Nailing - c,N--__S� 4------,-1, Public Works (364-2770) Exterior Walls d' 44------,-1,/75/`7 s f-t, Fire (393-3888) Interior Walls - Landscape (364-2797) Hardware/Hold-Downs ., G,//6//5 '/t ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Combo Inspection: Final Electric rt -YvL4.--) Framing eN � Final Grade PI V / Rough Electric /As, i Final Plumbing i i 0 i/ / Rough Mechanical wW ( - ! Final Mechanical 1 j' i Rough Plumbing/Topout AL i Final Building/Construction N t COVER NO WORK UNTIL ABOVE IS APPROVED i1 ( � a Insulation Y1"..(, OKRTOISSUE OF OCCUPANCY I J o I a Drywall inspection: / y Interior a Q �/� Exterior l v ^\' "� OTHER: Lath fi ?1 � -rot-, Stucco Scratch - MISCELLANEOUS INSPECTIONS Masonry Fireplace (a.AWt 11‘4$ IL)`1 1 Plate Ties,Fire Block, PATIO/DECK: Footing Access/Light/Switch Patio Final 0 9 S' 251-